NPI | 1225527419 |
---|---|
Former Name | MACKENZIE LYNN WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2019-02799) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 237984) |
Enumeration Date | 2018-05-03 |
Last Update Date | 2022-08-09 |